| NPI | 1396014502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9277492) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9277492) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2026-01-08 |