| NPI | 1811427099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MD R157167) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R157167) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-07-25 |