| NPI | 1154887362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9406881) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9406881) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN9406881) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9406881) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2020-01-08 |