| NPI | 1891313334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11008278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9369293) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2025-03-05 |