| NPI | 1508985532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 093041) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600011) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-06-19 |