| NPI | 1821489865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9326574) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL RN9326574) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL RN9326574) | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-04-14 |