| NPI | 1083939474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992954) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NY 603265) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 339164) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2019-10-09 |