| NPI | 1225510134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9393272) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9393272) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2026-05-08 |