| NPI | 1538293568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP001461H) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP001461H) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-05-02 |