| NPI | 1114201613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14042) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2025-07-07 |