| NPI | 1700864220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-082088) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-082088) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-07-25 |