| NPI | 1316567548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11037578) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997715-NP) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-10-24 |