| NPI | 1134555949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9267291) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: FL RN9267291) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9267291) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-09-01 |