| NPI | 1023079084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019500) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11009762) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2026-06-10 |