| NPI | 1376105882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R203670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R203670) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2021-03-08 |