| NPI | 1942564711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9359459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9359459) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN223698) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02951) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-02-21 |