| NPI | 1114530078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009028) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 645754) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-09-01 |