| NPI | 1952468969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI npp37323) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 207381) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-05-28 |