| NPI | 1114224698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9166210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9166210) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2020-07-14 |