| NPI | 1548868862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11008933) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11008933) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008933) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11008933) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-07-19 |