| NPI | 1457905622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11003318) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11003318) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: FL 11003318) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11003318) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-08-14 |