| NPI | 1265974059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN9475244) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2024-06-06 |