| NPI | 1487085155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 8186) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 072299-23) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2019-07-25 |