| NPI | 1689971046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11040173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 53341) |
| 363L00000X Nurse Practitioner (Licence: MN R 153720-0) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3871) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2025-10-17 |