| NPI | 1649549346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn9192551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9192551) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9192551) | |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2024-11-03 |