| NPI | 1376314401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11030543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9294106) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11030543) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-11-13 |