| NPI | 1790330611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003639) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 31380) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11003639) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-09-24 |