| NPI | 1558060749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9460779) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2025-06-12 |