| NPI | 1124144688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP3034202) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL ARNP3034202) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN229335) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP3034202) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-09-19 |