| NPI | 1033775184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 206913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN143068) |
| 363L00000X Nurse Practitioner (Licence: LA 206913) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-08-07 |