| NPI | 1396439634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11026838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9488668) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-12-08 |