| NPI | 1992776579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VT 1010080704) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 9188504) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2011-11-02 |