| NPI | 1962339226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11047427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RNP339373) |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-28 |