| NPI | 1942900626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-81860-041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-81860-041) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-06-15 |