| NPI | 1962829564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9296948) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9296948) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP 9296948) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2024-01-03 |