| NPI | 1922508902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000239) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0000239) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2020-12-18 |