| NPI | 1427645266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11010468) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35052) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2025-03-26 |