| NPI | 1992399141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11010544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9431376) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 101010544) | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2025-01-31 |