| NPI | 1063875870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 19413) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 19413) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2021-05-19 |