| NPI | 1467143263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4012116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4012116) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN2125312) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34501) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-12-06 |