| NPI | 1023235728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1734122) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: FL ARNP1734122) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2026-01-27 |