| NPI | 1427835941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11026347) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL 11026347) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-12-01 |