| NPI | 1154603611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 17573) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 3-002082) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 306051) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0038259) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0101894-C-NP) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2024-12-12 |