| NPI | 1568031219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11014143) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11014143) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11014143) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-04-02 |