| NPI | 1760165187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11027986) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11027986) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11027986) | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-24 |