NPI | 1336552579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9343639) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9343639) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9343639) | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2023-01-27 |