| NPI | 1972261550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11036726) |
| 363L00000X Nurse Practitioner (Licence: SC GAA-NP003354) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2025-05-08 |