| NPI | 1881942233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11008051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9311696) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11008051) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-09-17 |