| NPI | 1386989218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 111440) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J148985) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2023-06-22 |