| NPI | 1053821751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9363317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9363317) |
| 163W00000X Registered Nurse (Licence: FL RN9363317) | |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2026-02-13 |