| NPI | 1861952715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11001913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001913) |
| 163WG0600X Registered Nurse, Gerontology (Licence: FL 11001913) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-04-17 |