| NPI | 1093234486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9338504) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9338504) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9338504) | |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2024-10-29 |