| NPI | 1558248484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 85540) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NM RN-87695) |
| 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NM RN-87695) | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |