| NPI | 1306259296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 5718) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 005718) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2015-08-26 |