| NPI | 1669257788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311438) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL TPAN3945) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1217776) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2026-02-03 |