| NPI | 1578397303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11036567) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9411956) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9411956) | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-12-10 |