| NPI | 1447853098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 24187) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC ALAM-2B9RZ) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-12-28 |