| NPI | 1255978797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038825) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26662) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2025-04-21 |