| NPI | 1881189389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NCO-000001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 240266) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-04-30 |