| NPI | 1295235323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9318067) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9318067) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2026-08-19 |