| NPI | 1104416296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029360) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9463076) |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: FL RN9463076) | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2024-06-05 |