| NPI | 1043787070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AR A005720) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AR A005720) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |