| NPI | 1467058891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11010664) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11010664) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11010664) | |
| 363L00000X Nurse Practitioner (Licence: FL 11010664) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-04-04 |