| NPI | 1063003895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 77692) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 1975040) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11017405) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-01-23 |