| NPI | 1356807853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001456) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2026-07-24 |