| NPI | 1114229051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL APRN11024533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01700) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2024-09-17 |