| NPI | 1104981224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R128753) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LD-0000115) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1006277) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |