| NPI | 1558733261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN207080) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN207080) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2017-01-28 |