| NPI | 1851431662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3225572) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3225572) |
| 101YM0800X Counselor, Mental Health (Licence: FL 843) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-04-06 |