| NPI | 1063010395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11034258) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: FL RN9491841) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-08-26 |