| NPI | 1043551716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 147392-21) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AL 0190343-23) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |