| NPI | 1740847144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11003505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9263722) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2020-01-14 |