| NPI | 1881055291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP8720) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AZ RN165205) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2023-05-08 |