| NPI | 1912496068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R190975) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R190975) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-11-19 |