| NPI | 1457832842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A005762) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005762) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-02-26 |