| NPI | 1407458417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003140) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP0000326) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003140) | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2023-11-09 |