| NPI | 1245536770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN932182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN932182) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FM 932182) | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2023-03-13 |