| NPI | 1619597721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-164575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-164575) |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2023-03-09 |