| NPI | 1871593939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 2793) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 002793) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-09-13 |