| NPI | 1093193542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9262040) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9262040) |
| 363LC1500X Nurse Practitioner Community Health (Licence: FL ARNP9262040) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP9262040) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2022-02-15 |