| NPI | 1992559702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71017162A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11031173) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2026-02-19 |