| NPI | 1598542995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11028536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11028536) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-12-11 |