| NPI | 1992231021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9380430) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 980430) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-01-27 |