| NPI | 1508489873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R41817) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: ND R418107) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-07-21 |