| NPI | 1386257806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11022321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN244773) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11022321) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2025-04-17 |