| NPI | 1164142014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL aprn11030900) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11030900) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-06-01 |