| NPI | 1821738287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11018084) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL APRN11018084) |
| 208D00000X General Practice (Licence: FL APRN11018084) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11018084) | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2026-07-15 |