| NPI | 1710383542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 19322) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9324823) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 0000019322) | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2024-10-22 |