| NPI | 1881287530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 26853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 99457) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2023-04-25 |