| NPI | 1124417142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11011098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A004275) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11011098) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2025-07-30 |