| NPI | 1073689808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9321004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9321004) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2017-03-27 |