| NPI | 1609499060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209021404) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 27494) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 27494) | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2021-08-02 |