| NPI | 1891148078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9365041) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: FL RN9365041) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2017-05-12 |