| NPI | 1871210989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11022639) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL RN9368231) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-02-06 |