| NPI | 1497886956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 249757) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: SC 2854) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 2854) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-06-18 |