| NPI | 1023615440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 230449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11009437) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009437) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2025-10-28 |