| NPI | 1659036481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11018074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9175221) |
| Enumeration Date | 2021-11-06 |
| Last Update Date | 2024-10-21 |