| NPI | 1750354759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 108244) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 108244) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2017-12-20 |