| NPI | 1104098557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9216522) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9216522) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9216522) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2024-06-18 |