| NPI | 1578635140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN000964) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 13396) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-01-24 |