| NPI | 1528612397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: DC RN1012448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1012448) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |