| NPI | 1760285951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038510) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11038510) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11038510) | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-09-25 |