| NPI | 1861150534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11017541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409491) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-04-19 |