| NPI | 1134766223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004888) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11004888) |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2023-04-13 |