| NPI | 1134680515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2285057) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95036742) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-08-20 |