| NPI | 1326352758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LD-0000142) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP011148) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-04-20 |