| NPI | 1326449414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11005191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9379237) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-08-11 |