| NPI | 1467659698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0001-066408) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 001066408) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: VA 15000207) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-06-11 |