| NPI | 1376415174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: MS 907533) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 907864) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-10-24 |