| NPI | 1114448867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9318130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9318130) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-08-20 |