NPI | 1033729959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009003) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: FL RN9379405) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2020-09-15 |