| NPI | 1518612241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024183320) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024183320) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2025-02-10 |