| NPI | 1336599828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F0416413) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 2013004499) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |