| NPI | 1326571415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11001649) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001649) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R174684) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2019-03-07 |