| NPI | 1376068999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9347842) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9347842) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9347842) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-05-25 |