| NPI | 1053671214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9259056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95039233) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2026-04-13 |