| NPI | 1841700556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP09602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09602) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2020-07-01 |