| NPI | 1639783889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008972) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2026-04-22 |