| NPI | 1184776833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1967302) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 0050-01460) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-07-06 |