| NPI | 1124499801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024675) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY f338628) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2026-01-05 |