| NPI | 1386150076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-03492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-85664) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-02-14 |