| NPI | 1023667680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11004022) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 11004022) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-09-11 |