| NPI | 1528943313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11041565) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11041565) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2026-01-09 |