| NPI | 1013308097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9304805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9304805) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9304805) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2026-04-30 |