| NPI | 1194202614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007274) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 24462) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-06-24 |