| NPI | 1033380944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 338834) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2024-06-20 |