| NPI | 1265183396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11006054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1006054) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-06-10 |