| NPI | 1043517808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN229369) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9313396) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N360709834) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2023-02-02 |