| NPI | 1396245593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11007186) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN299264) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018312) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6805) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2022-05-05 |