| NPI | 1235189986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 44906) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44906) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-02-06 |