| NPI | 1184254484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11003850) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL APRN11003850) |
| 163W00000X Registered Nurse (Licence: FL RN9431677) | |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2021-09-07 |