| NPI | 1710609813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 860039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 72795) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-11-29 |