| NPI | 1699472480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11025030) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: FL ME9352392) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2026-03-17 |