| NPI | 1235910647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11028263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028263) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2026-01-29 |