| NPI | 1558655068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1558802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1558802) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP1558802) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-11-07 |