| NPI | 1861244493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11030237) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL 11030237) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |