| NPI | 1093148629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11031059) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023001721) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 223494) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-07-03 |