NPI | 1154785806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9252552) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9252552) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9252552) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2020-10-05 |