| NPI | 1477857621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9246168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9246168) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN9246168) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9246168) | |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2023-11-24 |