| NPI | 1356905665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11001433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001433) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11001433) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-10-03 |