| NPI | 1821667965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11017758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9447386) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11017758) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017758) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-09-22 |