| NPI | 1437968906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022979) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11022979) | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |