| NPI | 1467749184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 2057) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 2057) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-10-03 |