| NPI | 1730571530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2362818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1036847) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-05-24 |