| NPI | 1689355133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11027771) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL RN9319139) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-09-05 |