| NPI | 1083727713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2909122) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 2909122) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-12-05 |