| NPI | 1881660520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 44290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44290) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2018-08-20 |