| NPI | 1346820180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11012831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9404306) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11012831) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11012831) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-02-08 |