| NPI | 1376172692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-171693) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA GAA-NP000597) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-02-01 |