| NPI | 1275689101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA IA APRN J-113706) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE NE APRN 1758) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-06-30 |