| NPI | 1144638107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 228747) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9345744) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-03-20 |