| NPI | 1336780857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11006303) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL AG10190003) |
| Enumeration Date | 2019-10-06 |
| Last Update Date | 2024-04-10 |