| NPI | 1629710702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 28223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1172261) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2023-12-22 |