| NPI | 1841259926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 763) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 763) |
| 208D00000X General Practice (Licence: WI 95815) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-02-22 |