| NPI | 1396392304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003253) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003253) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP11003253) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-07-09 |