| NPI | 1013325943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9327693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9327693) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2025-08-07 |