| NPI | 1780300186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11041363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041363) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017126) | |
| 363L00000X Nurse Practitioner (Licence: NC 5017126) | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-11-10 |