| NPI | 1922356989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010315) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 17991) |
| Enumeration Date | 2012-08-24 |
| Last Update Date | 2026-04-13 |