| NPI | 1336488675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9762) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008151) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2021-08-18 |