| NPI | 1982256475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5012005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 259884) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-08-06 |