| NPI | 1477071330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9233847) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 33615) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-08-15 |