| NPI | 1699542092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11029787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11029787) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2026-05-20 |