NPI | 1851955710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11002245) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL APRN11002245) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002245) | |
Enumeration Date | 2019-04-26 |
Last Update Date | 2022-03-01 |