| NPI | 1013007723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3417872) |
| Additional Taxonomies | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: FL ARNP3417872) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-03-16 |