| NPI | 1811324585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11005551) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL aprn11005551) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R217320) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R217320) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2023-07-03 |