| NPI | 1750846077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11001243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001243) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2023-04-06 |