| NPI | 1881294544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN208526) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-10-17 |