| NPI | 1568008811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-149838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-149838) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2025-07-07 |