| NPI | 1831207406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A01758 ANP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR P01523) |
| 163W00000X Registered Nurse (Licence: AR R32834) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-01-12 |