| NPI | 1184289506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11001819) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001819) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL aprn11001819) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2025-02-11 |