| NPI | 1255831723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9391388) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9391388) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9391388) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-07-11 |