NPI | 1982030276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9274792) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9274792) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9274792) | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2023-12-14 |