| NPI | 1114392263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9320050) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ZZ ARNP9320050) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2020-12-07 |