| NPI | 1306813811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP1602362) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 1602362) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2010-07-08 |