| NPI | 1326696147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 312249) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003839) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-07-31 |