| NPI | 1750844783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000692) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000692) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000692) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-12-04 |