| NPI | 1407240112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11045593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R156090) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP035396) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2026-03-11 |