| NPI | 1316226533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO NP0000025) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024169426) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2013-06-05 |