| NPI | 1780139782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9300406) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN9300406) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9300406) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 9300406) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-06-09 |