| NPI | 1477681526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H111246) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J111246) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |