| NPI | 1972103919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11009892) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL 9356288) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-07-01 |