| NPI | 1063407658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP009211) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ RN090627) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-08-26 |