| NPI | 1477065316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL NP9292195) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL NP9292195) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9292195) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2018-05-17 |