| NPI | 1154027555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN11015257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11015257) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-08-12 |