| NPI | 1548704117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN927922) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9279722) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9279722) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-08-04 |