| NPI | 1841045341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 28951) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NC 190429) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-12-06 |