| NPI | 1558339887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 29491) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 208041) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2022-03-29 |