| NPI | 1316411689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9324578) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001537) | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2025-05-19 |