| NPI | 1275302705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11033617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 117274) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033617) | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2025-04-18 |