| NPI | 1497008072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11001712) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5005874) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2025-08-18 |