| NPI | 1952154148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032218) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032218) |
| 208D00000X General Practice (Licence: FL APRN11032218) | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2026-06-12 |