| NPI | 1972994218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023458) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9207753) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2026-02-24 |