| NPI | 1508060484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J071035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 071035) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA J-071035) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-03-29 |