| NPI | 1124742168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11022343) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL NP11022343) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-11-15 |