| NPI | 1851076319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL APRN11027096) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: FL APRN11027096) |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: FL APRN11027096) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN1102709) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11027096) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-07-24 |