| NPI | 1982427662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11033858) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN3278241) |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |