| NPI | 1063062545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008589) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11008589) |
| 163W00000X Registered Nurse (Licence: FL RN9432498) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008589) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11008589) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-11-10 |