| NPI | 1609615830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11031046) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11031046) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11031046) | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |