| NPI | 1689830507 |
|---|---|
| Former Name | CHRISTINE MARY UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-2701) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 212196-4405) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-02-14 |