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NPI 1104297621 · on the registry since 2015 · sole proprietor

Practice

Address
414 Cape Coral Pkwy E Ste 103
Cape Coral, FL 33904
Phone
(239) 343-9888
Fax
(239) 468-7937
Clinicians at this address
17

Additional practice sites

  • 126 Del Prado Blvd N Ste 102, Cape Coral, FL

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida