| NPI | 1942571062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11002426) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL RN9325922) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11002426) | |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2020-05-29 |