| NPI | 1043000573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11041652) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9456260) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2026-05-27 |