| NPI | 1356595490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2003021417) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MO 2003021417) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2012-12-12 |