| NPI | 1497863047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 1338181022) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 1338181022) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-07-17 |