| NPI | 1215072921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 067541-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 003574) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9281348) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9281348) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003574) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 067651-23) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2017-02-17 |