| NPI | 1104701366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10050055) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11040949) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11040949) | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-12-03 |