| NPI | 1881295780 |
|---|---|
| Former Name | CHARMAINE LASHA HOUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11009682) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11009682) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11009682) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |