| NPI | 1275960635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 18021) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 18021) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-11-04 |