| NPI | 1003078262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3621) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: SC 3621) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |