| NPI | 1518505346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 58657) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11008645) | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2023-04-13 |