| NPI | 1609601509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11038248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9618475) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9618475) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-09-21 |