| NPI | 1275028441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9391206) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9391206) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-04-04 |