| NPI | 1902676331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD AG11230040) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95147659) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-12 |