| NPI | 1376189571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005326) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11005326) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-01-24 |