| NPI | 1194278044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9254702) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431000-1) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-10-17 |