| NPI | 1760951131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA Waiting) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019716) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-12-26 |