| NPI | 1235448333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: UT 8199294-4405) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: UT 8199294-4405) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2013-01-30 |