| NPI | 1689236234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7929) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 7929) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-02-11 |