| NPI | 1578190062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80845) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MO 23541795) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2022-06-15 |