| NPI | 1881015519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9168130) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9168130) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9168130) | |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2023-10-16 |