| NPI | 1508218579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6755) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6755) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2017-12-07 |