| NPI | 1003565003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5023689) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11018173) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11018173) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11018173) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11018173) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL MS8698194) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2026-02-24 |