| NPI | 1184347395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 30395) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11021339) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11021339) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-08-08 |