| NPI | 1376325852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11029595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9226751) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11029595) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-12-07 |