| NPI | 1811780505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11039837) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG05250056) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-06-20 |