| NPI | 1174888150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038227) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9512761) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2025-03-21 |