| NPI | 1881285336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 214598) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 214598) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 223879) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-05-17 |