| NPI | 1932723764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153486) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-01-12 |