| NPI | 1952825457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9380595) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG05170095) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9380595) | |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-10-27 |