| NPI | 1619214178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 17171-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 187554-30) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2025-07-25 |