| NPI | 1407070501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009193) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP0000308) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-02-15 |