| NPI | 1952266173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11043605) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11043605) |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2026-04-14 |