| NPI | 1093193112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11020849) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020849) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00564500) | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2022-10-25 |