| NPI | 1659014744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11050351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9301620) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-08-25 |