| NPI | 1427590199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9221202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9221202) |
| Enumeration Date | 2016-11-13 |
| Last Update Date | 2024-04-24 |