| NPI | 1104240035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11002450) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11002450) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11002450) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2014003661) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MO 2014003661) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2021-04-28 |