| NPI | 1932584604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-113003) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-113003) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2018-04-10 |