| NPI | 1720357023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9205667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9205667) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2024-04-16 |