| NPI | 1417326471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9310787) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9310787) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9310787) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-06-23 |