| NPI | 1932160637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011001347) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 104267) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-04-11 |