| NPI | 1912755067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 672006) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL 672006) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |