| NPI | 1245767961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9289159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9289159) |
| 163WC0400X Registered Nurse Case Management (Licence: FL RN9289159) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL RN9289159) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9289159) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP9289159) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-02-08 |