| NPI | 1639807415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11017775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017775) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11017775) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11017775) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-11-10 |