NPI | 1255819157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9233342) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL AG07180092) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2021-04-20 |