| NPI | 1790187862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013475) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL APRN11013475) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2021-09-17 |