| NPI | 1881153245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9435348) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 818968) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2022-07-12 |