| NPI | 1215567524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1105546) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11005546) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2025-07-14 |