| NPI | 1346941879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11024208) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9383859) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2026-04-08 |