| NPI | 1184114829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9366948) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9366948) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2022-04-29 |