| NPI | 1639548175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015256) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2025-08-05 |