| NPI | 1174063127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 9265534) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL NP9265534) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2025-09-17 |