| NPI | 1457827503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021518) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11021518) |
| 363L00000X Nurse Practitioner (Licence: AL 1-145076) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2025-08-07 |