| NPI | 1649200825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R175265) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 471109) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-10-03 |