| NPI | 1588294367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11004714) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11004714) |
| 207R00000X Internal Medicine (Licence: FL APRN11004714) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11004714) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004714) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2025-09-05 |