| NPI | 1306690607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024190289) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11032286) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11032286) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024190289) | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-09-27 |