| NPI | 1316935760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 341) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD 359780-23) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2025-04-10 |