| NPI | 1891346177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 38814) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994854-NP) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2025-07-24 |