| NPI | 1619446739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11000180) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11000180) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL APRN11000180) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |