NPI | 1982901807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9368171) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9368171) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9368171) | |
Enumeration Date | 2011-02-14 |
Last Update Date | 2019-07-02 |