| NPI | 1437687894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R207637) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: DC RN1031167) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2025-06-17 |