| NPI | 1033062567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11041086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 68999) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |