| NPI | 1336111566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H172559) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1960) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H172559) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-08-27 |