| NPI | 1629435169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11033769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015873) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2025-07-01 |