| NPI | 1386232213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11031401) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN3552434) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-02-24 |