| NPI | 1811487630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 037620-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NH 037620-23) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-07-12 |