| NPI | 1760207245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11022358) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11022358) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-07-08 |