| NPI | 1679949598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009699) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN088988) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009699) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-01-17 |