| NPI | 1972190700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN61646) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN61646) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |