| NPI | 1760696488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11016947) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 555592) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-11-14 |