| NPI | 1619441946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 057311-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 057311-23) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2021-05-17 |