| NPI | 1902642903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11032832) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11032832) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11032832) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-08-16 |