| NPI | 1154963809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11015726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9408793) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2026-09-08 |