| NPI | 1760346977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11042245) |
| Additional Taxonomies | 2084P0805X (Licence: FL APRN11042245) |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2026-01-20 |