| NPI | 1679325385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11032018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032018) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-05-01 |