| NPI | 1487132668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN2904452) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2904452) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2904452) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2904452) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2026-04-09 |