| NPI | 1649316860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 110361) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J-115588) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-05-25 |