| NPI | 1659414464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 600028) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NC 65269) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-10-20 |