| NPI | 1588814263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: KS 5381716052) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NV 860200) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP115919) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX 705048) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NM 70334) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2023-08-15 |