| NPI | 1780122317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9374504) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP9374504) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9374504) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9374504) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL APRN9374504) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-06-25 |