| NPI | 1669824009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 006649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 121836) |
| 363L00000X Nurse Practitioner (Licence: CT 006649) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-11-08 |