| NPI | 1124502018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 9246110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9246110) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9246110) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-06-14 |