| NPI | 1396388500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11003381) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN11003381) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11003381) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2020-11-03 |