| NPI | 1306867239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA tp004611h) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26nn06956700) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-01-15 |