| NPI | 1841373263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 256204) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA RN00104595) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2013-01-11 |