| NPI | 1174942668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011440) |
| 363L00000X Nurse Practitioner (Licence: AZ 258807) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-07-31 |