| NPI | 1659708485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9222592) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9222592) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9222592) | |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2022-04-13 |