| NPI | 1700329117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN321714) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9401763) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015322) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2023-08-13 |