| NPI | 1689140170 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9283592) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9283592) | 
| Enumeration Date | 2018-10-23 | 
| Last Update Date | 2022-07-25 |