| NPI | 1073536603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN852862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 852862) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP852862) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-11-23 |