| NPI | 1366269250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: PR 3513) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: PR 3613) |
| 363L00000X Nurse Practitioner (Licence: PR 3613) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |