| NPI | 1235374018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024168130) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 2008005676) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2022-07-25 |