| NPI | 1265997373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001295) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL aprn11001295) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11001295) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL APRN11001295) | |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2026-09-04 |