| NPI | 1295377620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024183167) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024183167) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11004673) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2022-02-09 |