| NPI | 1093946519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 900286) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NC 102799) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900286) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |