| NPI | 1740048461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11031616) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9504356) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-05-03 |