| NPI | 1518240639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9275101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9275101) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9275101) | |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2019-10-19 |