| NPI | 1275139982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9287381) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010680) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11010680) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11010680) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2021-01-17 |