| NPI | 1376910547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9317791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9317791) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP001728) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9317791) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2025-07-15 |