| NPI | 1205697547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11025986) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 3-001612) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-04-14 |