NPI | 1609417336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11004367) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11004367) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11004367) | |
Enumeration Date | 2019-10-03 |
Last Update Date | 2023-04-19 |