| NPI | 1508936055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN2965432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN2965432) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2026-05-22 |