| NPI | 1588056790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6058) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6058) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2018-06-16 |