| NPI | 1740916949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11011189) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9337405) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-01-12 |