| NPI | 1548964190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11027915) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN239536) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL RN239536) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-09-22 |