| NPI | 1902187057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 004709) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 12-004709) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2024-09-29 |