| NPI | 1639764368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11011970) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018207) |
| 363L00000X Nurse Practitioner (Licence: FL 11011970) | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-08-20 |