| NPI | 1457787509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-118810) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN230692) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2023-06-28 |