| NPI | 1861883225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-095574) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-095574) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2019-06-28 |