| NPI | 1497361034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN1109096) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11009096) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2025-03-04 |