| NPI | 1861952715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001913) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: FL 11001913) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-10-28 |