| NPI | 1609853837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3325042) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL ARNP3325042) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3325042) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-01-30 |