| NPI | 1295350106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9417853) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2025-12-02 |