| NPI | 1548281785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 6094) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TN APN6094) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-02-08 |