| NPI | 1861424640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP006740B) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA VP006741H) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-01-15 |