| NPI | 1609625482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 13682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 95545) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2026-10-13 |