| NPI | 1124418728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024178688) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP9915) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP 9356454) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2024-06-06 |