NPI | 1609245950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9264110) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9264110) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL AG0815117) | |
Enumeration Date | 2015-09-16 |
Last Update Date | 2023-08-04 |