| NPI | 1962867028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11002406) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC APN29408) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2026-04-28 |