| NPI | 1467951160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11017360) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704322326) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2025-11-09 |