| NPI | 1487189049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9315901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9315901) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9315901) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2025-11-18 |