| NPI | 1174407456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11041282) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11041282) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11041282) | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |