| NPI | 1568603173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11044750) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 6650503) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2026-04-08 |