| NPI | 1386242402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009875) |
| 261QX0200X Clinic/Center, Oncology (Licence: FL APRN11009875) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2024-11-16 |