| NPI | 1154392207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9197202) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9197202) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9197202) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-11-04 |