| NPI | 1093545154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11033993) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11033993) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11033993) | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |