| NPI | 1609501774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1003698) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 1003698) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-08-01 |