| NPI | 1174660666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN49) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-49) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-12-13 |