| NPI | 1295775468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9403591) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN9403591) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-11-22 |