| NPI | 1598904278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9199718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9199718) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2022-06-24 |