| NPI | 1225259989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 002117) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CT E55717) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-03-07 |