| NPI | 1003514225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11024436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11024436) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-04-15 |