| NPI | 1477969582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014326) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR R085395) |
| 363L00000X Nurse Practitioner (Licence: TX 863777) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014326) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-11-25 |