| NPI | 1467088724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006749) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9255489) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-06-25 |