| NPI | 1679069157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9473943) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9473943) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG06180195) | |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2024-05-22 |