| NPI | 1093279382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001162) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: FL APRN11001162) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-11-05 |