| 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 |