| NPI | 1801401328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R205199) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1032974) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-10-13 |