| NPI | 1891259925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11001072) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.00035619) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002702) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001072) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2024-03-22 |