| NPI | 1861673733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN9496660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9496660) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2023-06-09 |