| NPI | 1487263802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009544) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11009544) |
| 363L00000X Nurse Practitioner (Licence: FL RN9444292) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-01-27 |