| NPI | 1689149015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9265459) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2026-01-09 |