| NPI | 1053096081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11027004) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL APRN11027004) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11027004) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027004) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11027004) | |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-07-04 |