| NPI | 1578435855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11042690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9547762) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-11-03 |