| NPI | 1043085178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11029790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029790) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-11-18 |