| NPI | 1841353208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP6923) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN-092188) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-11-14 |