| NPI | 1083842520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01450ANP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 09035013) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2010-07-23 |