| NPI | 1710645270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024184381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R088124) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-07-12 |