| NPI | 1578333233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11030013) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: FL RN9193131) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-09-26 |