| NPI | 1346762754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9393556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9393556) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9393556) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2021-11-10 |