NPI | 1710416979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9370705) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9370705) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9370705) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2017-06-09 |