| NPI | 1407528284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11023941) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP023186) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-01-02 |