| NPI | 1013954791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 200457) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200457) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-01-21 |