| NPI | 1033049242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11048361) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9395931) |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-08-14 |