| NPI | 1740494962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN3391622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3391622) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-01-29 |