| NPI | 1952923211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5013145) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NC 319658) |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2023-01-03 |