| NPI | 1770667297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9218476) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9218476) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2026-01-07 |