| NPI | 1326490244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 068972) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-09-14 |