| NPI | 1982281648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024180575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001146792) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-12-23 |