| NPI | 1801931688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN179141) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R104958) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-05-13 |