| NPI | 1548628027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9254077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9254077) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9254077) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2021-10-22 |