| NPI | 1003565003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018173) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11018173) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11018173) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-09-01 |