| NPI | 1316596489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003664) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003664) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL APRN11003664) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-05-18 |