| NPI | 1447200837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3168062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: APRN3168062) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3168062) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-06-10 |