| NPI | 1366028813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R193310) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WV 108726) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-06-07 |