| NPI | 1134535859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 6018) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6018) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2018-03-17 |