| NPI | 1982144291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9211878) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9211878) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-07-25 |