| NPI | 1982477956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11038432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038432) |
| 363L00000X Nurse Practitioner (Licence: KS 82646) | |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2026-06-16 |