| NPI | 1902434665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11006781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN10006781) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2022-09-13 |