| NPI | 1174671267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11007630) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9535939) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303770) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340280) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-02-06 |