| NPI | 1912416926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9351564) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9351564) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9351564) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9351564) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-06-26 |