| NPI | 1619677697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-155438) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AL 1-155438) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-10-11 |