| NPI | 1215293469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: HI 22902-APRN 432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI 22902-APRN 432) |
| 363L00000X Nurse Practitioner (Licence: HI 22902-APRN 432) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-10-29 |