| NPI | 1053853804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9363972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9363972) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2026-06-11 |