| NPI | 1265973820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 9293432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9293432) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2022-07-21 |