| NPI | 1043153430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11046460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046562) |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-06-17 |