| NPI | 1932657871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9181641) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9181641) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9181641) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2019-04-03 |