| NPI | 1851743199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP2114722) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: FL 2114722) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-01-26 |