| NPI | 1427799493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC AG07210048) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC AG07210048) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-06-21 |