| NPI | 1467238287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A176525) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IA 149621) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-10-03 |