| NPI | 1184717860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR P01048) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AR S01032 CNS) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |