| NPI | 1730649484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5013519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5013519) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NR20759700) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-04-02 |