| NPI | 1023666138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: GA AG07190298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA AG07190298) |
| 163WN0800X Registered Nurse Neuroscience (Licence: GA RN253798) | |
| Enumeration Date | 2019-09-01 |
| Last Update Date | 2019-09-01 |