| NPI | 1588871198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11032619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9226812) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2024-05-06 |