| NPI | 1649723248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 312281) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: DC 1036055) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: DC 1036055) | |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2025-09-04 |