NPI | 1134602188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9235194) |
Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: FL APRN9235194) |
Enumeration Date | 2018-09-14 |
Last Update Date | 2021-03-31 |