| NPI | 1427562743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018530) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA RN646791) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-01-30 |