| NPI | 1396993317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11019656) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 236406) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11019656) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2023-04-19 |