| NPI | 1326749102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11025369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025369) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9425931) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN9425931) | |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2025-03-03 |