| NPI | 1326346370 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 3064792) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN3064792) | 
| Enumeration Date | 2011-02-28 | 
| Last Update Date | 2025-10-14 |