| NPI | 1568485951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ ap2459) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: AZ RN104226) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-11-12 |