| 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 |