| NPI | 1871922997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1007773) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R221462) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2025-04-16 |