| NPI | 1497726053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ ap3966) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APN000821) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2012-04-11 |