| NPI | 1457124828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11025071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025071) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2025-07-31 |