| NPI | 1407808512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP10603) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 536637) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-01-20 |