NPI | 1083313373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11024932) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11024932) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11024932) | |
Enumeration Date | 2023-02-27 |
Last Update Date | 2025-06-03 |