| NPI | 1144650904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011756) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18096) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024180703) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2021-12-08 |