| NPI | 1710236039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 240229) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9245229) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2018-04-19 |