| NPI | 1073356283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11033366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033366) |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2026-04-08 |