| NPI | 1457028953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11016498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9454116) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-05-03 |