| NPI | 1053070482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11016986) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11016986) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11016986) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2023-12-13 |