| NPI | 1205177672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6560) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 006560) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2022-04-28 |