| NPI | 1871933978 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9269679)  | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN9279679)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9269679)  | |
| Enumeration Date | 2013-07-03 | 
| Last Update Date | 2025-07-28 |