| NPI | 1922659119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11002573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9304622) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11002573) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-10-29 |