| NPI | 1548994650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11020942) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL RN9342710) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-21 |