| NPI | 1871108480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11006637) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11006637) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-02-02 |