| NPI | 1528650025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11023923) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022829) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2025-08-01 |