| NPI | 1215656582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11027214) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN1854102) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL APRN11027214) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-01-30 |