| NPI | 1154822401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9244991) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9244991) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ANRP9244991) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |