| NPI | 1427543685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11005561) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95009324) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95009324) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-01-20 |