| NPI | 1366980757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9355835) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AG07170152) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2025-08-20 |