| NPI | 1740600501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI AG06230026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 163792) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2026-03-10 |