| NPI | 1679501027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01870) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: AR R72705) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-06-04 |