| NPI | 1609417336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11004367) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11004367) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11004367) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-04-19 |