| NPI | 1013139955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA 272452) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NY F340239) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |