| NPI | 1861431462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11035744) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11035744) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD NP128088) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-06-04 |