| NPI | 1659082618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA W171960) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IA W171960) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-06-01 |