| NPI | 1619470143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9442441) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 29068) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2024-09-13 |