| NPI | 1255371985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002917) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11005362) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3002917) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-01-04 |