| NPI | 1124646237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5017694) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017694) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 26568) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-10-08 |