| NPI | 1336074780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11048487) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11048487) |
| 208D00000X General Practice (Licence: FL APRN11048487) | |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-07-23 |