| NPI | 1093073579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9171825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9171825) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9171825) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2021-11-23 |