| NPI | 1912525122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11007448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11007448) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11007448) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-08-01 |