| NPI | 1225396294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9346131) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9346131) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9346131) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9346131) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2023-11-21 |