| NPI | 1609218775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NE 111416) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J132656) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |