| NPI | 1982787560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 234691) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 3234612) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-09-26 |