| NPI | 1740592062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-072469) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2025-04-17 |