| NPI | 1871076992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9311008) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP93110008) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN9311008) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-11-07 |