| NPI | 1275059180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9206974) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL APRN9206974) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-03-13 |