| NPI | 1689360240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 75964) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 75964) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-07-10 |