| NPI | 1093424020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11023089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11023089) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11023089) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-06-13 |