| NPI | 1902633498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11035421) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL APRN11035421) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-10-18 |