| NPI | 1144642091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP07618) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: LA AP07618) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2020-09-30 |