| NPI | 1497362024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11010406) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 0317896) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-11-15 |