| NPI | 1942608328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3009770) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013259A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3009770) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2022-11-04 |