| NPI | 1366910416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN245868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN245868) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-07-18 |