| NPI | 1851191431 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11038633) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL pending) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-09-12 |