| NPI | 1477171270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-160165) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-APRN-LIC-101471) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MT 160165) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-12-14 |