| NPI | 1134833007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11034121) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9325192) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-08-12 |