| NPI | 1851909212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11007989) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11007989) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2024-05-17 |