| NPI | 1679976088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 265965) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 265965) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2020-05-21 |