| NPI | 1710443486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11001901) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 903114) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-12-04 |