| NPI | 1831263243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9426913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R114730) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9426913) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-03-02 |