| NPI | 1003086703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 2721-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2721-033) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2020-06-26 |