| NPI | 1679251425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11034262) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 2023004684) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-06-05 |