| NPI | 1396433157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11027158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9505886) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11027158) | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-09-13 |