| NPI | 1699446484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11015529) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11015529) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11015529) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015529) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-04-09 |