| NPI | 1093533838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11036101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9432684) |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-11-18 |