| NPI | 1851797534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9367060) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9367060) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9367060) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL APRN9367060) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9367060) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2026-01-07 |