| NPI | 1114157260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5017809) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R129919) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-03-17 |