| NPI | 1255833497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 82051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010412) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2025-05-21 |