| NPI | 1164903928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL aprn9381786) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL 9381786) |
| 363L00000X Nurse Practitioner (Licence: FL 9381786) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL aprn9381786) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-03-03 |