| NPI | 1386981603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2960062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN2960062) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2960062) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2024-01-25 |