| NPI | 1467807487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-129469) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-129469) |
| 363LF0000X Nurse Practitioner Family (Licence: AL 1-129469) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2023-11-06 |