| NPI | 1609395110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11000392) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN271169) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL APRN10011000394) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA RN271169) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NM CNS-00256) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2023-03-27 |