| NPI | 1346124062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9525261) |
| 163W00000X Registered Nurse (Licence: MA RN2328123) | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |