| NPI | 1053807750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9301884) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ARNP9301884) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9301884) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2022-08-05 |