| NPI | 1801663273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 225635) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 225635) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-18 |