| NPI | 1770874158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R 72800) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A03538) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-03-17 |