| NPI | 1902682651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11031233) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9325658) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11031233) | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-06-04 |