| NPI | 1871983353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201602021NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012255) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209012255) | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-05-25 |