| 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 | 2022-11-30 |