| NPI | 1477187169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5024359) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: FL APRN11006293) |
| 363L00000X Nurse Practitioner (Licence: NC 5024359) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11006293) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: NC 5024359) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2026-08-12 |