| NPI | 1598148637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN209149) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA AG0115058) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-07-31 |