| NPI | 1801330519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9204470) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9204470) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9204470) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003015) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2022-12-20 |