| NPI | 1306392949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9220366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 179451) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9220366) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-10-10 |