| NPI | 1942351044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024166607) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: VA 0024166607) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2024-06-27 |