| NPI | 1457625568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL RN 1952492) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 906790) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 3-002281) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2025-12-09 |