| NPI | 1063468601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5000950) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5000950) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-12-07 |