NPI | 1700469988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11010121) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010121) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11010121) | |
Enumeration Date | 2021-05-04 |
Last Update Date | 2023-03-16 |