| NPI | 1639577422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004193) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9386595) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2023-07-14 |