| NPI | 1255676839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9277706) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9277706) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9277706) | |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2025-11-13 |