| NPI | 1578001038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017013256) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO AG01170222) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2018-12-10 |