| NPI | 1417494816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: AL AG0117082) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL AG0117082) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2019-06-25 |