| NPI | 1841449279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0001089111) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: VA 0015000857) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-05-06 |