| NPI | 1326755513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL APRN11021917) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11021917) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2026-05-13 |