| NPI | 1669846705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9303324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9303324) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9303324) | |
| Enumeration Date | 2015-11-28 |
| Last Update Date | 2025-09-26 |