| NPI | 1073123550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9310070) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010316) | |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2026-01-08 |