| NPI | 1003218751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2023167530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2013022891) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-11-23 |