| NPI | 1609144369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: DC 2007004897) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5004024) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 011914) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2013-08-27 |