| NPI | 1881839108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3009489) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 2008005001) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014384A) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2024-01-31 |