| NPI | 1932108586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP 2128402) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CT 0134457-18) |
| Enumeration Date | 2005-07-16 |
| Last Update Date | 2009-12-09 |