| NPI | 1154778470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN2950202) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: FL APRN2950202) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-03-31 |