| NPI | 1184884702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 3605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 3605) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-12-10 |