| NPI | 1053822791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9426070) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2357939) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 138223) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2022-04-25 |