| NPI | 1063015485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11024097) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 9247498) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11024097) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-04-17 |