| NPI | 1417490467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11037028) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016415) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2025-04-10 |