| NPI | 1982414702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9497116) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-08-05 |