| NPI | 1205200516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9470700) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209033166) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN9470700) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2026-07-09 |