| NPI | 1699251959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL APRN11017806) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9411595) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2026-04-21 |