| NPI | 1093759524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP2727382) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN2727382) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-08-18 |