| NPI | 1720457997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5007987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 237302) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |