| NPI | 1801306592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9337075) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9337075) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9337075) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2021-07-02 |