| NPI | 1235675257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP09181) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP09181) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-02-28 |