| NPI | 1558051052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11025286) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL APRN11025286) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2025-09-10 |