| NPI | 1770920191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9259996) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9259996) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9259996) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2026-07-07 |