| NPI | 1295204741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL aprn11000073) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000073) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11000073) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-02-09 |