| NPI | 1093206492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9312093) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: FL RN9312093) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-04-30 |