| NPI | 1649841404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 087349-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2355709) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0028755) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-10-03 |