| NPI | 1861960122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11014615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014615) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 341785) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2026-03-02 |