| NPI | 1649839218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R206232) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R206232) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |