| NPI | 1013443159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9205797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9205797) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-07-08 |