| NPI | 1760097794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009037) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11009037) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2026-07-21 |