| NPI | 1497292049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9214368) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN9214368) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9214368) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9214368) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-11-15 |