| NPI | 1982565693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 237333) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 237333) |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-28 |