| NPI | 1093254385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9262181) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9262181) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 234569) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2026-03-26 |