| NPI | 1700945664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 030637-23-05) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 030637-23-05) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2017-03-07 |