| NPI | 1073716650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9189379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9189379) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2022-09-29 |