| NPI | 1386447837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11037225) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 30530) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-07-16 |