| NPI | 1215713276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311559-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013936) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11013936) | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2024-02-05 |