| NPI | 1891850095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1806762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1806762) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-11-15 |