| NPI | 1619407244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11013037) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 341833) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013037) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-08-04 |